Síndromes de hiperdrenaje de las válvulas en hidrocefalia infantil
Syndromes of overdrainage of ventricular shunting in childhood hydrocephalus
J.F. Martínez-Lage
, M.A. Pérez-Espejo, M.J. Almagro, J. Ros de San Pedro, F. López, C. Piqueras, J. Tortosa
Servicio Regional de Neurocirugía Hospital Universitario Virgen de la Arrixaca. El Palmar. Murcia. Grupo NYNE de Neurología y Neurocirugía Experimental. Facultad de Medicina, Campus de Espinardo. Murcia
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"apellidos" => "Martínez-Lage" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M.A." "apellidos" => "Pérez-Espejo" ] 2 => array:2 [ "nombre" => "M.J." "apellidos" => "Almagro" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Ros de San Pedro" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "López" ] 5 => array:2 [ "nombre" => "C." "apellidos" => "Piqueras" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Tortosa" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio Regional de Neurocirugía Hospital Universitario Virgen de la Arrixaca. El Palmar. Murcia. Grupo NYNE de Neurología y Neurocirugía Experimental. Facultad de Medicina, Campus de Espinardo. Murcia" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia postal: Servicio Regional de Neurocirugía. Hospital Universitario “Virgen de la Arrixaca”. E-30120, El Palmar, Murcia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Syndromes of overdrainage of ventricular shunting in childhood hydrocephalus" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-09-13" "fechaAceptado" => "2004-10-14" "PalabrasClave" => array:2 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec158810" "palabras" => array:7 [ 0 => "Hidrocefalia" 1 => "Colapso ventricular" 2 => "Hiperfunción valvular" 3 => "Hiperdrenaje ventricular" 4 => "Edema cerebral" 5 => "Derivaciones de LCR" 6 => "Complicaciones de las válvulas de hidrocefalia" ] ] 1 => array:4 [ "clase" => "abr" "titulo" => "Abbreviations" "identificador" => "xpalclavsec158811" "palabras" => array:5 [ 0 => "CVS" 1 => "DVP" 2 => "PIC" 3 => "RM" 4 => "TAC" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec158809" "palabras" => array:8 [ 0 => "Hydrocephalus" 1 => "Slit ventricle syndrome" 2 => "CSF overdrainage" 3 => "Ventricular overdrainage" 4 => "Cerebral edema" 5 => "CSF shunts" 6 => "Complications of hydrocephalus" 7 => "valves" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El drenaje excesivo de las válvulas constituye una complicación dificil, tanto de prevenir como de tratar. Los autores revisan una serie de 512 niños operados mediante derivación de líquido cefalorraquídeo, de manera retrospectiva, para analizar las causas de esta complicación. La causa de la hidrocefalia fue congénita (n= 172), debida a mielomeningocele (n= 123), posthe-morrágica (n=103), tumoral (n= 64), postinfecciosa (n=40) y postraumática (n= 10). Ochenta y ocho niños (17,8%) presentaron alguna complicación por funcionamiento excesivo del sistema valvular. Se analizó la etiología de la hidrocefalia relacionándola con los cuadros de hiperdrenaje. La complicación más frecuente fue la obstrucción del extremo ventricular de la derivación (n= 50), seguida del cuadro de colapso ventricular sintomático (n= 19), de hematoma subdural (n= 10) y de cuarto ventrículo aislado (n=9). Las diversas complicaciones se distribuyeron de manera homogénea entre todos los grupos etiológicos, sin diferencia estadística. El cuadro de colapso ventricular sintomático (CVS) ocurrió en 19 niños (3,71%), cifra menor que la descrita en la bibliografía. Sólo dos grupos de pacientes con hidrocefalia adquirida (postinfecciosa y posthemorrágica) tuvieron una mayor tasa de CVS (p=0,005), lo que se atribuyó a la mayor incidencia en estos niños de procesos destructivos cerebrales. El tratamiento del CVS fue complejo y requirió diversos procedimientos, que se aplicaron de manera escalonada, incluyendo cinco craniectomías descompresivas. Los autores recomiendan evitar, en lo posible, el empleo de válvulas, utilizando en su lugar, y siempre que sea posible, técnicas de neuroendoscopia, o válvulas de nueva tecnología, que supuestamente disminuirán el número de complicaciones de hiperfunción valvular.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Overdrainage in ventricular shunting constitutes a difñcult to prevent and to treat complication. The authors reviewed a retrospective series of 512 children submitted to a ventricular shunting procedure aimed at analysing factors influencing this type of complication. The causes for the hydrocephalus were congenital (n=172), post-myelomeningocele (n=123), posthemor-rhagic (n=103), tumoral (n=64), postmeningitis (n=40) and posttraumatic (n=10). Eighty-eight children (17.8%) evolved with a complication related to the excessive function of the valve. The authors investi-gated the relationship between hydrocephalus’ etiology and type of overdrainage syndromes. The most frequent complication was ventricular catheter block (n=50), followed by symptomatic slit ventricle syndrome (SVS) (n=19), subdural hematoma (n=10) and trapped fourth ventricle (n=9). There were no statistical differences regarding complications for each etiologic subset of hydrocephalus. SVS occurred in 19 children (3,71%), a low rate according to the current literature. Posthe-morrhagic and postinfectious hydrocephalus grouped together showed a higher rate of SVS (p=0,005), a feature that we attributed to the cerebral destruction caused by these two conditions. Treatment of SVS was complex and required diverse procedures, applied in an escalated way, which included five decompressive cra-niectomies. The authors suggest avoiding, as much as possible, the use of ventricular shunts, and recommend the alternative use of new technology valves and neuroendoscopic procedures.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Martínez-Lage, J.F.; Pérez-Espejo, M.A.; Almagro, M.J.; Ros de San Pedro, J.; López, F.; Piqueras, C; Tortosa, J.G.: Síndromes de hiperdrenaje de las válvulas en hidrocefalia infantil. Neurocirugía 2005; 16: 124–133.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:45 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Craniosynostosis as a complication after operation for hydrocephalus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2023 Marzo | 8 | 1 | 9 |
| 2021 Marzo | 1 | 0 | 1 |
| 2021 Enero | 1 | 0 | 1 |
| 2020 Mayo | 1 | 0 | 1 |
| 2019 Mayo | 20 | 0 | 20 |
| 2019 Enero | 1 | 0 | 1 |
| 2018 Marzo | 1 | 1 | 2 |
| 2018 Febrero | 33 | 1 | 34 |
| 2018 Enero | 49 | 9 | 58 |
| 2017 Diciembre | 33 | 7 | 40 |
| 2017 Noviembre | 56 | 27 | 83 |
| 2017 Octubre | 30 | 9 | 39 |
| 2017 Septiembre | 29 | 22 | 51 |
| 2017 Agosto | 30 | 8 | 38 |
| 2017 Julio | 32 | 7 | 39 |
| 2017 Junio | 47 | 10 | 57 |
| 2017 Mayo | 51 | 22 | 73 |
| 2017 Abril | 46 | 12 | 58 |
| 2017 Marzo | 30 | 6 | 36 |
| 2017 Febrero | 61 | 0 | 61 |
| 2017 Enero | 35 | 6 | 41 |
| 2016 Diciembre | 51 | 19 | 70 |
| 2016 Noviembre | 91 | 20 | 111 |
| 2016 Octubre | 79 | 29 | 108 |
| 2016 Septiembre | 75 | 25 | 100 |
| 2016 Agosto | 67 | 41 | 108 |
| 2016 Julio | 64 | 37 | 101 |
| 2016 Mayo | 1 | 0 | 1 |
| 2016 Marzo | 7 | 0 | 7 |
| 2016 Enero | 2 | 0 | 2 |
| 2015 Diciembre | 3 | 0 | 3 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Septiembre | 2 | 0 | 2 |
| 2015 Julio | 1 | 0 | 1 |
| 2015 Junio | 37 | 8 | 45 |
| 2015 Mayo | 55 | 19 | 74 |
| 2015 Abril | 43 | 19 | 62 |
| 2015 Marzo | 44 | 14 | 58 |
| 2015 Febrero | 37 | 17 | 54 |
| 2015 Enero | 30 | 17 | 47 |
| 2014 Diciembre | 31 | 12 | 43 |
| 2014 Noviembre | 40 | 14 | 54 |
| 2014 Octubre | 50 | 20 | 70 |
| 2014 Septiembre | 35 | 22 | 57 |
| 2014 Agosto | 39 | 20 | 59 |
| 2014 Julio | 40 | 17 | 57 |
| 2014 Junio | 63 | 23 | 86 |
| 2014 Mayo | 51 | 24 | 75 |
| 2014 Abril | 25 | 13 | 38 |
| 2014 Marzo | 54 | 18 | 72 |
| 2014 Febrero | 43 | 15 | 58 |
| 2014 Enero | 46 | 46 | 92 |
| 2013 Diciembre | 40 | 34 | 74 |
| 2013 Noviembre | 47 | 36 | 83 |
| 2013 Octubre | 35 | 33 | 68 |
| 2013 Septiembre | 35 | 33 | 68 |
| 2013 Agosto | 41 | 33 | 74 |
| 2013 Julio | 42 | 28 | 70 |
| 2013 Junio | 28 | 26 | 54 |
| 2013 Mayo | 21 | 21 | 42 |
| 2013 Abril | 24 | 14 | 38 |
| 2013 Marzo | 25 | 31 | 56 |
| 2013 Febrero | 16 | 13 | 29 |
| 2013 Enero | 14 | 15 | 29 |
| 2012 Diciembre | 14 | 18 | 32 |
| 2012 Noviembre | 2 | 10 | 12 |
| 2012 Octubre | 0 | 1 | 1 |
| 2012 Septiembre | 0 | 2 | 2 |
| 2012 Enero | 16 | 0 | 16 |
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